In 1957, the School of Medicine of the University of Puerto Rico initiated a residency program in General Psychiatry. This program has been fully accredited since its beginning by the Liaison Committee of Graduate Medical Education. The last accreditation report of the Accreditation Council for Graduate Medical Education was received on April 2017 .and it received an extended full accreditation status.

In 1964, a fellowship program in Child & Adolescent Psychiatry, also fully accredited, was included. The last accreditation report from the Accreditation Council for Graduate Medical Education was received on April 2017.

After joint operation during three or four years, the San Juan VAMC and the School of Medicine realized that a better service could be given if both residency programs made use of the same didactic curriculum, thus benefiting from each other’s resources. A new program was established under the direction of our Academic Institution. The use of the San Juan VAMC facilities, as well as all other public and private resources, was approved; this included the Río Piedras Medical Center hospitals, such as the University Hospital, the State Psychiatric Hospital and Clinics, and the Pediatric University Hospital with its Day Center and Clinics. Also included were the Community Mental Health Centers, Courts, public schools and other health related public services. This Program replaced the Residencies previously accredited, obtaining its own accreditation.